HomeMy WebLinkAboutNCG030146_MONITORING INFO_20180110STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.�C)
co
DOC TYPE
❑ HISTORICAL FILE
L MONITORING REPORTS
l b I D
DOC DATE
❑
YYYYMMDD
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO. Iv C,/& 0SID a 1
DOC TYPE. ❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE ❑ a\
YYYYMMDD
NtirLD
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina Division of Water Quality General Permit No. NCG030000
Date submitted 12/12/17
CERTIFICATE OF COVERAGE NO. NCG03 146
FACILITYNAME Equipment&Supply. Inc.
COUNTY Union
PERSON COLLECTING SAMPLES Richard Harmon — Harmon Env., PA JAN 1 2�1$
LABORATORY Prism Laboratories. Inc.Cert. # 402
Comments on sample collection or analysis: vnst_C %
reel
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2017
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ® Monthly' December
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ®Water Supply []SA
UNIT ❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this period?
Outfall No.
Date Sam le
p
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Total Suspended Solids
pH,
Standard units
Copper
Lead
Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks
-
-
100 mg/L or 50 mg/L°
6.0 — 9.0
0.007 mg/L
0.03 mg/L
0.067 mg/L
15 mg/L
1 mg/L
05
12/06/17
0.18
39
6.3
0.010
<0.0050
0.050
<5.0
NA
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 1 of 3
Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
T'�n. SF�r�Sf
Name (Print name)
Title (Print titl4)
-ally
(Signature) (Date)
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical
format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection
limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?Z
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches;
Non -polar O&G/TPH by
EPA 1664 (SGT-HEM)
Total Suspended Solids
pH
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L*
6.0 — 9.0 SU
Footnotes from.Part A also apply to this Part B
* See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012
Page 2 of 3
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑
REGIONAL OFFICE CONTACT NAME: Zahid Kahn
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
(Date)
Permit Date: 11/1/2012-10/31/2017
SWU-245, last revised 10/25/2012
Page 3 of 3
� NC Certification No. 402 Case Narrative
Izj.?P R I S M Full -Service Analytical & NC Dunking Water Can No. 37735 12/18/2017
Environmental Solutions SC Certification No. 99012
�Diaeolu7oairs, roc
Harmon Environmental, PA
Project: Equipment & Supply Stormwater
Rick Harmon
Project No.: 309
615 Bruce Thomas Rd.
Lab Submittal Date: 12/07/2017
Monroe, NC 28112
Prism Work Order: 7120155
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
6. *Wrticz�
Cara C. Rusmisell
Project Manager
Data Qualifiers Key Reference
Reviewed By Cara C. Rusmisell
Project Manager
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: 704/629-6364 - Toll Free Number: 1400/529-6364 - Fax: 704/626-0409 Page 1 of 7
GR R ISM I Fuviranmal Solutions
& F likSe mca ental alytical
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Sample Receipt Summary
12/18/2017
Prism Work Order: 7120155
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
Out 05
7120155-01 Water 12/06/17 12/07/17
Samples were received in good condition at 3.6 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 -Charlotte, INC 29224-0643
Phone: 7041529-6364 - Toll Free Number: 1-8001629-6364 - Fax: 704/626-0409 Page 2 Of 7
&EPIR I S M I Fu0norce Anatyticel 8
Summary of Detections
ennnmronmentai sowuona
eoaron,aa .c
12I18I2017
Prism Work Order: 7120155
Prism ID Client ID
Parameter
Method Result Units
7120155-01 Out 05
Total Suspended Solids
'SM2540 D 39 mg/L
7120155-01 Out 05
Copper
*200.7 0.010 mg/L
7120155-01 Out 05
Zinc
*200.7 0.050 mg/L
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 -Charlotte, INC 28224-0643
Phone: 7041629-6364 - Toll Free Number: 1-8001629-6364 - Fax: 7041626-0409 Page 3 of 7
ice
AERB I S M I Fin-aerrnen al Solutions
4
Environmental al Wlion&
✓ue ....—
Harmon Environmental, PA
Attn: Rick Harmon
615 Bruce Thomas Rd.
Monroe, NC 28112
Project: Equipment & Supply
Stormwater
Project No.: 309
Sample Matrix: Water
Laboratory Report
12/18/2017
Client Sample ID: Out 05
Prism Sample ID: 7120155-01
Prism Work Order: 7120155
Time Collected: 12/06/17 02:35
Time Submitted: 12/07/17 15:00
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Datef-rime ID
General Chemistry Parameters
Oil & Grease (HEM)
BRL
mg/L
5.0
0.98 1
*16646
12/14/17
9:45
SLS
P710241
Total Suspended Solids
39
mg/L
6.0
0.40 1
'SM2640 D
12/11/17
13:39
SLS
P71.0173
Total Metals
Copper
0.010
it lL
0.010
0.0010 1
*200.7
12/14/17
15:20
JAB
1`71-0177
Lead
BRL
mg/L
0.0050
0.0010 1
*200.7
12/14/17
15'.20
JAB
P710177
Zinc
0.060
mg/L
0.030
0.0013 1
'200.7
12/14/17
15:20
JAB
P71-0177
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbraok Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 7041529-6364 - Tall Free Number: 1.800/529-6364 - Fax: 704/626-0409
Page 4 of 7
I^ALevel 11 QC Report
I V 1 Full-Servlco Analylicel
/-!,,R Environmental Solutions 12/18/17
�1%uewuioai[3 „�
Harmon Environmental, PA Project: Equipment & Supply Stormwater Prism Work Order: 7120155
Attn: Rick Harmon Time Submitted: 12/7/2017 3:00:00PM
615 Bruce Thomas Rd. Project No: 309
Monroe, NC 28112
Total Metals - Quality Control
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P71-0177 - 200.7
Blank(P7L0177-BLKi)
Prepared:
12/12/17 Analyzed:
12/13/17
Copper
BRL
0.010
mg/L
Lead
BRL
0,0050
mg/L
Zinc
BRL
0.030
mg/L
LCS (P7L0177-BS1)
Prepared:
12/12/17 Analyzed:
12/13/17
Copper
0,246
0.010
mg/L
0.2500
98
85-115
Lead
0.244
0,0050
mg/L
0.2500
98
85-115
Zinc
0.248
0.030
mg/L
0.2500
99
85-115
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: 704/629-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041526-0409 Page 5 of 7
&/KkDR
Full -Service Analyticala I S M Environmental Solutions
u[KxoTOAns%IN�
Level II QC Report
12/18/17
Harmon Environmental, PA Project: Equipment & Supply Stormwater Prism Work Order: 7120155
Attn: Rick Harmon Time Submitted: 12/7/2017 3:00 OOPM
615 Bruce Thomas Rd. Project No: 309
Monroe, NC 28112
General Chemistry Parameters - Quality Control
Reporting Spike Source %REC RPD
Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P71-0173 - NO PREP
Blank (P7L0173-BLK1) Prepared & Analyzed: 12/11/17
Total Suspended Solids BRL 5.0 mg/L
LCS (P7L0173-BS1) Prepared & Analyzed: 12/11/17
Total Suspended Solids 490 5.0 mg/L 477.0 103 90-110
Batch P71-02411 - NO PREP
Blank (P7L0241-BLK1) Prepared & Analyzed: 12/14/17
Oil & Grease (HEM) BRL 5.0 mg/L
LCS (P7L0241-BS1) Prepared & Analyzed: 12/14/17
Oil & Grease (HEM) 34.5 5.0 mg/L 40.00 86 78-114
Sample Extraction Data
Prep Method: 200.7
Lab Number Batch Initial Final DaterTime
7120155-01 P710177 50 mL 50 mL 12/12/17 8.25
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: 7041529-6364 - Toll Free Number: 1-800/629-6364 - Fax: 704/625-0409
Page 6 o 77
i
CHAIN OF CUSTODY RECORD
n I Full -Service Analytical & i __Z'tll�}jW-6 y' YES NO �✓WA.I,� 1�
J' V' Environmental Solutions PAGE OF� OUOTE 0 TO ENSURE PROPER BILLINCK Sartiples INTACT upon arrWal2p ,^ 3� `✓`4°'' ✓r t `p
,LARFRI ISM
*ueonnroares n+c AAa Received ON WET:ICE'7 r� t✓ lS..... r
Project Name: tl \ P snc- C %`• 1 �. .r:+. ,> ,,s_r
449 Springbrook Road • Charlotte, NC 28217 Short Hold Analysis: (Yes) (Nd) UST Project: (Yes) (NO) PROPER PRESERVATIVES mdlceted7
Phone 704/529-6364 Fax: 7041525-0409
*Please ATTACH any project specific reporting (QC LEVEL 1 II III IV) Renewed WITHIMHOLDINGFTIME37i#y ✓ * ,; . --; d
Client Company Name: P4f.VlGLD D''•`"' 1 provisions a`n or QC Requirements ,a CUSTODY sEALS,INTACTI z x�
Report TolContact Name: '��e h""rs^-� Invoice To: 1'✓r"Nl.a.l• ) _ VOLATILES rectl vVlOUT HEADSF'ACE7
Reportin Address: �(S t•'rhi.4 rr1.c Address: L ,-PROPER GONTA 4NERS used?l+F I'
G'+'1 ^C'7- �t- w'� I i yt f Ct (I , '9 12- TEMP Therm.ID.'rh T T . •Observed; G /Con. jai °C
Phone:." I �61�� L-1 Fax (Yes) (No): Purchase Order No./Billing Reference -J'J — k 1 TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Email Address: CYJYtrn C✓ 0. K^ ' r Requested Due Date o 1 Day q2 ,Days ❑ 3 Days O 4 Days ❑ 5 Days Certification: NELAC_ DOD_ FL_ NC'-J(_
EDD Type: PDF_6ccel_Other�_ "Working Days" ❑ 69 Days Standam 10 days ❑Rush Approvedd Must Be
Atn,� SC_ OTHER NIA
Site Location Name: �'✓��`llh�� 1 LW ' Samples received after 14:00 will be processed next business day.
Site Location Physical Address: gS44 gi l T_' Tumaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES— NO�'i
��r/��,.�,, ��//'� (SEE REVERSE FOR TERMS A CONDITIONS REGAROING SERWCE9 Sample lcedU on Collection: YE -A NO
jr1 oK-4--J ;Lk rZ&l! 14 RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) P P —
TIME MATRIX
CLIENT DATE COLLECTED (SOIL,
SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR
HOURS SLUDGE)
SAMPLE CONTAINER ANALYSIS REQUESTED PRISM
PRESERVA• (( Pvh REMARKS LAB
-TYPE NO. SIZE TIVES f,� �j �L ID NO.
SEE BELOW
OVT- 0S
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Sampler's Signatur Sampled By (Pont Name) 1C%GIG1� ��nT"' Afiliatio ✓t'2''t�� 1'�1
Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been Initialized.
Relinquished By: a BY: ( mwre ✓�--/ 'ele01tary� Additional Comments site Artival limey -
RMHNWs W y: (Signew.e) R..e d By: (Signature) Del. Site Departure ,n
Field Tech
RellnwW d By: (Slgnst.) ReoeNed For La By: Date
Metnod of Shpment NOTE:ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH C ODYS FORTRANSPORTATIONTOTHE LABORATO . CDC Gmup No.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINBT COG LRECEWED AT THE LABORATORY.
❑ Fed Et O UPS O HuM4elivamd ❑ Prvm Fed Servo® ❑ ON j �Q
SOLIDWAST
❑ NC ❑ SC E. 0 NC O SC ❑ NC ❑ SC ❑ NC LANDFILL
PNC ❑ SC ZINC I UST. ❑ SC ❑ NC ❑ SCTER: ❑ NC DRINKI DISC ❑ SC ❑ NC O SC
n n r-k 1 ❑ 1 ❑ ❑ ❑ ❑ ❑ ORIGINAL
•CONTAINER TYPE CODES: A =Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)